NPI 1124626296

Evolve Residential, LLC

Organisation Substance Abuse Rehabilitation Facility Glen Burnie, MD

Practice location

Address: 390 Washington Ave, Glen Burnie, MD 21060-8712
Phone: (410) 456-7404

Authorised official

Name: Sara Burden
Title: Executive Director
Phone: (410) 456-7404

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Maryland →

Registry record

NPI: 1124626296
Entity type: Organization
NPI issued: 12 Oct 2020
Record last updated: 12 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.